Individual provider Active NPI

Jeffrey Phillip Meglin, M.D.

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1366653529
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11013291A Issued in IN
Practice address
3401 E Raymond St
Indianapolis, IN 46203-4744
Phone
(317) 957-2100
NPI assigned
May 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11013291A IN Primary
Pediatrics Physician 208000000X 11013291A IN

Addresses

Primary practice location

3401 E Raymond St
Indianapolis, IN 46203-4744

Mailing address

3401 E Raymond St
Indianapolis, IN 46203-4744
Phone (317) 957-2100

Other identifiers 2

IdentifierTypeStateIssuer
01068498AOtherINMEDICAL LICENSE
200988370MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101113000047 IN Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0143415331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2006
Medicare assignment
May accept Medicare assignment
Group practices
Healthnet IncGroup PAC ID 7214840933, 77 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Healthnet Triage OB/GYN Services
Indianapolis, IN 46202-1239
Phone (317) 962-8909

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11013291AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthnet, Inc. CurrentSince Oct 6, 2010 Accepting new patients
Major Hospital Past Accepting new patients

Locations

3401 E Raymond St
#0
Indianapolis, IN 46203

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

3401 E Raymond St
Indianapolis, IN 46203
Phone (317) 788-9769

2855 N Keystone Ave
Ste 130
Indianapolis, IN 46218

3403 E Raymond St
Indianapolis, IN 46203
Phone (317) 957-2000

Interoperability endpoints

  • Direct secure messaging: jeffrey.meglin@hn.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1366653529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 E RAYMOND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034744",
            "telephone_number": "317-957-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 E RAYMOND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034744",
            "telephone_number": "317-957-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGLIN",
        "first_name": "JEFFREY",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-26",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "11013291A",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "11013291A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "01068498A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200988370",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.